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胃肠道出血激光凝固术的临床结果(作者译)

[Clinical results of laser-coagulation in gastro-intestinal bleeding (author's transl)].

作者信息

Frühmorgen P, Bodem F, Reidenbach H D, Kaduk B, Demling L

出版信息

Dtsch Med Wochenschr. 1976 Sep 3;101(36):1305-7. doi: 10.1055/s-0028-1104261.

DOI:10.1055/s-0028-1104261
PMID:1085247
Abstract

Endoscopic laser-coagulation was used 94 times in 14 patients to stop gastro-intestinal bleeding or coagulate potential bleeding sources during non-bleeding intervals. Lasting haemostasis was achieved in three cases of incomplete gastric erosion, one of gastric ulcer, one of duodenal ulcer and one of bleeding after antral rugectomy. It failed to stop severe arterial bleeding in a case of gastric carcinoma. Lasting haemostasis was achieved in six haemangiomas of the colon, one case of angiomatosis of the antrum with 62 individual sites, two of angiodysplasia of the colon, 17 lesions in Osler's disease of the oesophagus (2 cases), stomach (10) and duodenum (5). The procedure was performed in the course of diagnostic endoscopy with an argonion laser developed by the authors, which has a density of 0.7-1.3 W/mm2. No complications have been observed so far.

摘要

对14例患者进行了94次内镜激光凝固术,以在非出血期止血或凝固潜在的出血源。在3例不完全性胃糜烂、1例胃溃疡、1例十二指肠溃疡和1例胃窦部切除术后出血的病例中实现了持久止血。在1例胃癌患者中,该方法未能止住严重的动脉出血。在6例结肠血管瘤、1例胃窦血管瘤病(共62个部位)、2例结肠血管发育异常、2例奥斯勒病(食管17处病变、胃10处、十二指肠5处)中实现了持久止血。该操作是在诊断性内镜检查过程中使用作者研制的氩离子激光进行的,其密度为0.7-1.3W/mm2。迄今为止未观察到并发症。

相似文献

1
[Clinical results of laser-coagulation in gastro-intestinal bleeding (author's transl)].胃肠道出血激光凝固术的临床结果(作者译)
Dtsch Med Wochenschr. 1976 Sep 3;101(36):1305-7. doi: 10.1055/s-0028-1104261.
2
[Clinical experiences with a new method of laser coagulation in gastrointestinal hemorrhages].
Minerva Chir. 1978;33(13-14):763-6.
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Comparison of argon laser photocoagulation and bipolar electrocoagulation for endoscopic hemostasis in the canine colon.氩激光光凝术与双极电凝术用于犬结肠内镜止血的比较
Gastroenterology. 1982 Oct;83(4):830-5.
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[Non-contact argon gas coagulation in flexible endoscopy of the gastrointestinal tract: in vitro studies and initial clinical experiences].[非接触式氩气凝固术在胃肠道软性内镜检查中的应用:体外研究及初步临床经验]
Z Gastroenterol. 1995 Dec;33(12):694-700.
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[Bleeding from Dieulafoy's ulcer after argon-plasma laser coagulation of gastric angiodysplasia in Heyde's syndrome].
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Endoscopic control of upper gastrointestinal hemorrhage with a bipolar coagulation device.使用双极凝血装置进行上消化道出血的内镜控制。
Surg Gynecol Obstet. 1984 Aug;159(2):113-8.
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Lasers in gastroenterology.胃肠病学中的激光
Ann Chir Gynaecol. 1985;74(5):199-202.
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Endoscopic Nd:YAG laser therapy in upper gastrointestinal bleeding.内镜下钕钇铝石榴石激光治疗上消化道出血
Ann Chir Gynaecol. 1989;78(4):287-9.
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Clinical application of argon plasma coagulation in endoscopic hemostasis for non-ulcer non-variceal gastrointestinal bleeding--a pilot study in Taiwan.氩等离子体凝固术在内镜下治疗非溃疡非静脉曲张性上消化道出血中的临床应用——台湾的一项初步研究
Hepatogastroenterology. 2002 Mar-Apr;49(44):441-3.

引用本文的文献

1
Safety and efficacy of Neodymium-Yag laser photocoagulation: an experimental study in dogs.钕钇铝石榴石激光光凝术的安全性和有效性:犬类实验研究
Gut. 1981 Jan;22(1):38-44. doi: 10.1136/gut.22.1.38.